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Which product best fits your company or client needs?

Choice

Product Features Are there co-payments? Are There deductibles? Can I use this with a healthcare spending account? Product Advantages

AvMed Choice

Services from providers in and out of the plan network are covered (in-network services are less expensive) Some plans have co-payments, others require members to pay a percentage of their costs, and some have both Plans have deductibles that apply toward select services that are in-network Yes, a Health Reimbursement Arrangement (HRA) can be paired with any Choice plan that has a deductible Plans allow members to go to any provider with no limitation to using AvMed network providers
HMO Product Features Are there co-payments? Are There deductibles? Can I use this with a healthcare spending account? Product Advantages
AvMed Open Access HMO No Primary Care Physician (PCP) designation required
Self-refer to specialist physicians
Must use AvMed's network of providers
Includes co-payments that vary according to plan and service Some plans include deductibles and coinsurance for select services Yes, a Health Reimbursement Arrangement (HRA) can be paired with any HMO plan that has a deductible Network of quality physicians and hospitals for members to choose from to receive covered services
AvMed Classic HMO "Gatekeeper" plan that requires members to designate a Primary Care Physician (PCP)
Referrals to network specialists must be given to the member by their PCP
Includes co-payments that vary according to plan and service Some plans include deductibles and coinsurance for select services Yes, a Health Reimbursement Arrangement (HRA) can be paired with any HMO plan that has a deductible Members will have a Primary Care Physician (PCP) that will act as a care coordinator
Network of quality physicians and hospitals for members to choose from to receive covered services
POS Product Features Are there co-payments? Are There deductibles? Can I use this with a healthcare spending account? Product Advantages
AvMed Open Access POS Services from providers in and out of the plan network are covered (in-network services being less costly)
No referral plan where members self-refer to specialist physicians
These plans have co-payments for in-network benefits, and co-insurance for out-of-network benefits Plans have deductibles that apply toward the in-network benefits Spending accounts are not offered with AvMed's POS plans POS plans allow members to go to any provider with no limitation to in-network
AvMed Classic POS "Gatekeeper" plan that requires members to designate a Primary Care Physician (PCP)
Referrals to network specialists must be given to the member by their PCP
Out-of-network services available
These plans have co-payments for in-network benefits, and co-insurance for out-of-network benefits Plans have deductibles that apply toward the in-network benefits Spending accounts are not offered with AvMed's POS plans Members will have a Primary Care Physician (PCP) that will act as a care coordinator
Network of quality physicians and hospitals for members to choose from to receive covered services
Consumer Solutions Product Features Are there co-payments? Are There deductibles? Can I use this with a healthcare spending account? Product Advantages
AvMed Consumer HSA HDHP with one deductible that combines healthcare and prescription drug expenses
Designed to be paired with a Health Savings Account (HSA) healthcare fund
Members pay all expenses until they reach the deductible
Preventive services are covered at 100% before deductible is met
HDHP plans have a minimum deductible of $1,100 for single coverage and $2,200 for family coverage (set by the IRS)
Deductible includes medical and pharmacy expenses
Health Savings Account (HSA) can be opened to fund eligible healthcare expenses Lower premiums
Preventive services covered at 100%
Product can be paired with a healthcare spending account
AvMed Consumer HRA Consumer-directed health plan with any deductible
Designed to be paired with a Health Reimbursement Arrangement (HRA) healthcare fund
AvMed allows you to pair any plan with a deductible with an HRA
Members pay all expenses until they reach the deductible
Preventive services are covered at 100% before deductible is met (may not apply)
Plans have deductibles that apply toward select services (that are in-network for Choice plan design) Members do have access to a Health Reimbursement Arrangement (HRA) for eligible healthcare expenses Lower premiums (may not apply)
Preventive services covered at 100% (may not apply)
Product can be paired with a healthcare spending account
AvMed Consumer FSA Consumer-directed health plan with any deductible
Designed to be paired with a Health Reimbursement Arrangement (HRA) healthcare fund
AvMed allows you to pair any plan with a deductible with an HRA
Members pay all expenses until they reach the deductible
Preventive services are covered at 100% before deductible is met (may not apply)
Plans have deductibles that apply toward select services (that are in-network for Choice plan design) Members do have access to a Flexible Spending Account (FSA) for eligible healthcare expenses Lower premiums (may not apply)
Preventive services covered at 100% (may not apply)
Product can be paired with a healthcare spending account

Please contact your Sales Representative for further information on specific Large Group plans.

Last modified February 21, 2008
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